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General NPI Number Information
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NPI Number | 1821325549
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Entity Type | Organization
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Legal Business Name | CARNESE ASSOCIATES
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Dates
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Enumeration Date | 11/17/2009
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Last Update Date | 11/17/2009
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Provider Practice Location Address
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Address Line | 400 MONTAUK HWY SUITE 109
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City | WEST ISLIP
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State | NY
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Zip | 11795-4429
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Country | US
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Telephone | 631-661-1614
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Fax | 631-661-3805
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Provider Business Mailing Address
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Address Line | 400 MONTAUK HWY SUITE 109
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City | WEST ISLIP
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State | NY
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Zip | 11795-4429
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Country | US
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Telephone | 631-661-1614
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Fax | 631-661-3805
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Authorized Official
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Title or Position | SENIOR PARTNER
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Name | MR. FRANCIS XAVIER CARNESE
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Credential | LCSW-R
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Telephone | 631-661-1614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R0177001
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R327681
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License Number State | NY
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